在大型多中心医院系统中全面评估癌症患者绩效状况文档
Guillaume Lamé1, Mohamed El Mejdani1, Ariel Cohen2,3
1Laboratoire Génie Industriel, CentraleSupélec, Université Paris Saclay, Gif-sur-Yvette, France.
Journal of evaluation in clinical practice
|March 15, 2026
概括
电子健康记录 (EHR) 中的绩效状态 (PS) 文档是低的和可变的. 改善PS文档对于在瘤学研究和患者护理中有效利用EHR数据至关重要.
科学领域:
- 在瘤学瘤学.
- 医疗信息学 医疗信息学
- 临床研究 临床研究
背景情况:
- 绩效状态 (PS) 对于评估癌症患者的功能和指导治疗至关重要.
- 现有的研究表明,在电子健康记录 (EHR) 中记录PS分数方面存在重大缺陷.
研究的目的:
- 分析癌症患者记录中的绩效状态 (PS) 评分 (卡诺夫斯基,ECOG/Zubrod/WHO) 的记录率.
- 为了确定与PS文档完整性相关的患者和医院特征.
主要方法:
- 开发了一个正则表达式 (RegEx) 来自动识别医院,咨询和多学科团队会议 (MDT) 记录中的PS分数.
- 分析包括在2019年1月至2021年6月期间因癌症转诊的68,479名患者.
- 多变量分析评估了影响PS文档的因素,包括癌症类型,医院,患者人口统计和转移状态.
主要成果:
- 在PS识别方面,RegEx工具实现了高精度 (>0.95 F1分) 的PS识别.
- 只有35%的患者在诊断前有记录的PS;18%的MDT报告包括PS得分.
- 根据癌症类型和医院,PS的文档有很大差异;男性和老年患者更有可能记录PS. 临近诊断的记录PS与较差的一年生存率相关.
结论:
- 电子健康记录中的绩效状态 (PS) 文档通常是低的和不一致的.
- 加强PS文档对于利用电子健康记录作为瘤学中可靠的真实世界数据来源至关重要.
- 改进PS文档实践可以增强临床决策和研究能力.
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